Individual
MS. DENISE WIRTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
571 W LAKE AVE STE 6, BAY HEAD, NJ 08742-5000
(732) 899-9959
(732) 830-5465
Mailing address
571 W LAKE AVE STE 6, BAY HEAD, NJ 08742-5000
(732) 899-9959
(732) 830-5465
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC05189500
NJ
Other
Enumeration date
01/21/2007
Last updated
07/08/2007
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